Group Registration Form

Email this list to: strongj@uapb.edu

Cost: $10 Per Person. Groups 10 or More Students
RSVP and Pay no later than March 8th to Guarantee your Lion Fever Day T- Shirt
Call (870) 575-8960 to make a payment with a debit/credit card

GROUP NAME
Chaperone including yourself Name Cell # Email Address

Students Information below:

T-Shirt Sizes:
LAST NAME FIRST NAME GRADE HIGH SCHOOL CONTACT # EMAIL ADDRESS
S, M, L, XL ,2XL, 3XL